Individual
UNIQUE HAWTHORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8270 N CELINA ST, MILWAUKEE, WI 53224-2714
(414) 791-3731
Mailing address
8270 N CELINA ST, MILWAUKEE, WI 53224-2714
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
036064201538
WI
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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